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General NPI Number Information
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NPI Number | 1336692466
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Entity Type | Organization
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Legal Business Name | PHLEBOTOMY SERVICES INTERNATIONAL INC.
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 650 E PINE ST SUITE 101
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2400
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Country | US
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Telephone | 541-664-4382
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Fax | 541-210-9682
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Provider Business Mailing Address
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Address Line | 650 E PINE ST SUITE 101
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2400
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Country | US
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Telephone | 541-664-4382
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Fax | 541-210-9682
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD WILLIAM CUTLER
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Credential | CPT
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Telephone | 541-664-4382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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